NUR 1460C EXAM 1 MEDS QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

NUR 1460C EXAM 1 MEDS QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 Fluoxetine (Prozac) - Answers -CLASSIFICATION INDICATIONS for USE Selective Serotonin Reuptake Inhibitor- SSRI -Tx Anxiety Panic disorders Depression OCD - PTSD -ADVERSE/SIDE EFFECTS Weight loss/gain GI symptoms, tremors, diaphoresis, sexual dysfunction, nocturnal teeth grinding Hypotension -NRSG. IMPLICATIONS PATIENT TEACHING Suicidal ideations [BLACK B0X WARNING] Serotonin syndrome Avoid St John's wort interacting with SSRIs. The cumulative effect may take 3-4 weeks before symptoms are relieved. Take with food Sexual Dysfunction/ED Paroxetine (Paxil) - Answers -CLASSIFICATION INDICATIONS for USE Selective Serotonin Reuptake Inhibitor- SSRI Tx- Anxiety Panic disorders Depression OCD - PTSD -ADVERSE/SIDE EFFECTS Weight loss/gain, GI symptoms, tremors, diaphoresis, sexual dysfunction, nocturnal teeth grinding Hypotension -NRSG. IMPLICATIONS PATIENT TEACHING Suicidal ideations [BLACK B0X WARNING] Serotonin syndrome Avoid St John's wort interacting with SSRIs. The cumulative effect may take 3-4 weeks before symptoms are relieved. Take with food Sexual Dysfunction/ED Sertraline (Zoloft) - Answers -CLASSIFICATION INDICATIONS for USE Selective Serotonin Reuptake Inhibitor- SSRI Tx- Anxiety Panic disorders Depression OCD - PTSD -ADVERSE/SIDE EFFECTS Weight gain/gain, GI symptoms, tremors, diaphoresis, sexual dysfunction, nocturnal teeth grinding Hypotension -NRSG. IMPLICATIONS PATIENT TEACHING Suicidal ideations [BLACK B0X WARNING] Serotonin syndrome Avoid St John's wort interacts with SSRI's Cumulative effect may take 3-4 weeks before symptoms are relieved. Take with food Sexual Dysfunction/ED Escitalopram (Lexapro) - Answers -CLASSIFICATION INDICATIONS for USE Selective Serotonin Reuptake Inhibitor- SSRI Tx- Anxiety Panic disorders Social phobias Depression -ADVERSE/SIDE EFFECTS Irregular Heartbeat Weight loss/ GI symptoms, anxiety, tremors, diaphoresis, visual changes, dizziness, skin rash, itching Hypotension -NRSG. IMPLICATIONS PATIENT TEACHING Suicidal ideations [BLACK B0X WARNING] Serotonin syndrome Avoid St John's wort interacts with SSRIs Same time dosing, with meals Usually for long-term treatment. The cumulative effect may take 3-4 weeks before symptoms are relieved. Take with food Sexual Dysfunction/ED Duloxetine (Cymbalta) - Answers -CLASSIFICATION INDICATIONS for USE Selective Serotonin/Norepinephrine Reuptake Inhibitor- SNRI Tx- Anxiety, Depression Pain associated with peripheral neuropathy Fibromyalgia -ADVERSE/SIDE EFFECTS Irregular Heartbeat Weight loss/gain, GI symptoms, anxiety, tremors, diaphoresis, visual changes, dizziness, skin rash, itching Hypotension -NRSG. IMPLICATIONS PATIENT TEACHING Suicidal ideations [BLACK B0X WARNING] Serotonin syndrome Avoid St John's wort interacts with SSRIs Orthostatic hypotension first week of therapy. Increased risk of bleeding if taking anticoagulants. Cumulative effect may take 3-4 weeks before symptoms are relieved. Take with food Sexual Dysfunction/ED Venlafaxine (Effexor) - Answers -CLASSIFICATION INDICATIONS for USE Selective Serotonin/Norepinephrine Reuptake Inhibitor- SNRI Tx- Anxiety, Panic disorders Social phobias Depression -ADVERSE/SIDE EFFECTS Irregular Heartbeat Weight loss/ GI symptoms, anxiety, tremors, diaphoresis, visual changes, dizziness, skin rash, itching Hypotension -NRSG. IMPLICATIONS PATIENT TEACHING Suicidal ideations [BLACK B0X WARNING] Serotonin syndrome Avoid St John's wort interacts with SSRIs Can interact with anticoagulants, antifungals, diabetic meds, If the dose is missed, do not double the dose. The cumulative effect may take 3-4 weeks before symptoms are relieved. Take with food Sexual Dysfunction/ED Lorazepam (Ativan) - Answers -CLASSIFICATION INDICATIONS for USE Benzodiazepines Tx: Acute anxiety EtOH withdrawal Muscle spasms Status Epilepticus (continuous seizure activity) Seizures Pre-operative -ADVERSE/SIDE EFFECTS Can cause over-sedation Decreased BP-orthostatic Serious effects on those with liver/renal disease -NRSG. IMPLICATIONS PATIENT TEACHING Doses need to be slowly titrated and not abruptly stopped to avoid rebound disinhibition (Increased sedation alternates with increased activity) Avoid EtOH Can produce dependency/abuse issues Diazepam (Valium) - Answers -CLASSIFICATION INDICATIONS for USE Benzodiazepines TX: Acute anxiety EtOH withdrawal Muscle spasms Status Epilepticus (continuous seizure activity) Seizures Pre-operative -ADVERSE/SIDE EFFECTS Can cause over-sedation Decreased BP-orthostatic Serious effects on those with liver/renal disease -NRSG. IMPLICATIONS PATIENT TEACHING Can be taken with or without food. Avoid EtOH, antifungal medications, Herbal meds, Valerian, St. John's wort, and Kava (increases CNS effects) Avoid GRAPEFRUIT JUICE (inhibits metabolism of the medication) Can produce dependency/abuse issues Alprazolam (Xanax) - Answers -CLASSIFICATION INDICATIONS for USE Benzodiazepines Tx: Acute anxiety Panic disorders -ADVERSE/SIDE EFFECTS Headache and dry mouth Can cause over-sedation. Serious effects on those with liver/renal disease. -NRSG. IMPLICATIONS PATIENT TEACHING Can be taken with or without food. Avoid EtOH Can produce dependency/abuse issues Chlordiazepoxide (Librium) - Answers -CLASSIFICATION INDICATIONS for USE Anxiolytic Benzodiazepines Tx: Short-term use for anxiety or long-term use. EtOH withdrawal -ADVERSE/SIDE EFFECTS Dizziness and confusion in the elderly -NRSG. IMPLICATIONS PATIENT TEACHING Watch for orthostatic Hypotension Take V/S before giving medication Can be taken with or without food. Avoid EtOH Can produce dependency/abuse issues Buspirone (Buspar) - Answers -CLASSIFICATION INDICATIONS for USE Anxiolytic Tx: anxiety for adults, elderly, and children 6 yr. of age or older Panic attacks- long-term management -ADVERSE/SIDE EFFECTS Not to be given with MAOIs = severe hepatic or renal hypersensitivity -NRSG. IMPLICATIONS PATIENT TEACHING The start of therapy can cause dizziness; watch for orthostatic Hypotension Avoid EtOH, antifungal medications, Herbal meds, Valerian, St. John's wort, and Kava (increases CNS effects) Avoid GRAPEFRUIT JUICE (inhibits metabolism of the medication) Multi-time dosing throughout the day- Cumulative effect may take 3-4 weeks before symptoms are relieved. DOESN'T CAUSE DEPENDENCY ISSUES Flumazenil (Romazicon) - Answers -CLASSIFICATION INDICATIONS for USE Benzodiazepine Antagonist Tx: reversal of sedative effect -ADVERSE/SIDE EFFECTS IV use only Re-sedation may occur; repeat dosing of 0.2mg Headache, diaphoresis, May cause seizures in those with sedative-addition withdrawal or antidepressant overdose. -NRSG. IMPLICATIONS PATIENT TEACHING V/S before push Slow push IV over 30 seconds. Atenolol (Tenormin) Beta 1 OFF-LABEL DRUG USE Using a drug off-label means that a drug has been approved by the FDA for one purpose, and it's being used for a different purpose that hasn't been approved. - Answers -CLASSIFICATION INDICATIONS for USE Beta 1 Blocker blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. Tx-Off label use for short-term acute anxiety Hypertension helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. -ADVERSE/SIDE EFFECTS · Dizziness or lightheadedness. · Tiredness, depression. Nausea. · Dry mouth, stomach pain. · Vomiting, gas or bloating. · Hypotension -NRSG. IMPLICATIONS PATIENT TEACHING Take medication as directed, at the same time each day, even if feeling well; do not skip or double up on missed doses. Take missed doses as soon as possible up to 8 hr. before the next dose. Abrupt withdrawal may precipitate life-threatening arrhythmias, hypertension, or myocardial ischemia. Propranolol (Inderal) Beta2 OFF-LABEL DRUG USE